Puerto RicoSan German

Hospital de la Concepcion INC

Carr 2 Km 173 4 Bo Cain Alto, San German, PR 00683 · San German County · 30 certified beds · avg 46 residents/day · certified since Oct 24, 2024

2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.25
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (51)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 5, 2026F · Potential for harm, facility-wideThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 5, 2026F · Potential for harm, facility-wideThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Mar 5, 2026E · Potential for harm, repeatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 5, 2026E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not follow the rules about resident work. Residents must never be forced to work for the nursing home, but those who want to work must be allowed to.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to manage their own money and financial affairs.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not properly protect the personal money residents deposited with it for safekeeping.
Sep 12, 2024F · Potential for harm, facility-wideThe facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not let a resident or their legal representative see or buy copies of the resident's own records.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not give residents information about how to apply for and use Medicare and Medicaid benefits.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not keep residents' personal and medical information private and confidential.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 12, 2024F · Potential for harm, facility-wideThe facility prohibited or discouraged residents from communicating with federal, state, or local officials.
Sep 12, 2024F · Potential for harm, facility-wideThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Sep 12, 2024F · Potential for harm, facility-wideThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 12, 2024F · Potential for harm, facility-wideThe facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
Sep 12, 2024E · Potential for harm, repeatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 12, 2024E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 12, 2024D · Potential for harm, one-offThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Sep 12, 2024D · Potential for harm, one-offThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Sep 12, 2024C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 12, 2024C · Minimal risk, facility-wideThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Sep 12, 2024C · Minimal risk, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (46 → 5).

YearCitationsSerious (G–L)Worst severity that year
2024460F
202650F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityPuerto Rico avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.254.073.95bottom 13% in Puerto Rico; bottom 24% in the U.S.
Registered Nurse hours3.253.220.69bottom 38% in Puerto Rico; top 1% in the U.S.
Weekend total nurse staffing2.663.243.50bottom 13% in Puerto Rico; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)2.662.290.48bottom 38% in Puerto Rico; top 1% in the U.S.
Total nursing staff turnover (%)0.035.745.8
RN turnover (%)0.035.842.9

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 3.24, weekend 2.66. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Hospital de la Concepcion INCOrganization5% or Greater Direct Ownership Interest100%12/05/2023
Calderon, LizmariIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualADP of the SNFNOT APPLICABLE01/17/2025
Cardona Rodriguez, VanessaIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualCorporate OfficerNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualADP of the SNFNOT APPLICABLE01/17/2025
Ferrer, MarieIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Ferrer, MarieIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Ferrer, MarieIndividualOperational/Managerial ControlNOT APPLICABLE01/17/2025
Ferrer, MarieIndividualADP of the SNFNOT APPLICABLE01/17/2025
Hospital de la Concepcion INCOrganizationOperational/Managerial ControlNOT APPLICABLE01/17/2025
Hospital de la Concepcion INCOrganizationADP of the SNFNOT APPLICABLE01/17/2025
Quinones Bodega, CarlosIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Quinones Bodega, CarlosIndividualOperational/Managerial ControlNOT APPLICABLE01/17/2025
Quinones Bodega, CarlosIndividualADP of the SNFNOT APPLICABLE01/17/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Servicios Integrados de Rehabilitacion (siro) INC7.5 miHormigueros, PR★★★☆☆4/5

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Facility data as of CMS processing date 2026-08-01. CCN 405032.